When assessing the skin of a 75-year-old client the nurse identifies which of the following as a normal finding?
1. Pallor of the skin in the skinfolds of the axillae
2. Dry oral mucosa
3. Clubbing of the fingernails
4. Confusion and disorientation
2
Rationale: Reduced production of saliva is part of the normal aging process, and is manifested by dry oral mucosa. The elderly client should not have pallor, clubbing of the fingernails, or confusion as a normal result of the aging process
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A client has requested that she have a special item present in her room, and explains that it gives her a feeling of comfort and a sense of organization. This client is focusing on which component of heritage consistency?
A) Socialization B) Ethnicity C) Religion D) Culture
Which of the following advances offer hope for a cure in patient with endocrine problems? Select all that apply
1. Biochemistry 2. Technology 3. Genetics 4. Pharmacology 5. Diet therapy
The nurse has removed the sutures from a client's surgical wound. What should the nurse document about this procedure?
1. Number of sutures removed 2. Appearance of the incision 3. Client teaching 4. Client tolerance of the procedure 5. Name of the surgeon.
The nurse recognizes the following as an appropriate strategy for communicating with clients who are not fluent in English?
1. Speaking in a louder tone of voice 2. Incorporating hand gestures and pictures 3. Responding to the client by his or her first name 4. Interacting with an interpreter for all communication